Jacob, Jaisy

Jacob, Jaisy is an individual health care provider with primary practice located at 4100 John R St , Detroit MI 48201-2013. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Jacob, Jaisy can be contacted via phone (313) 576-9900.

Contact Information

Primary practice address
4100 John R St Detroit MI 48201-2013
Phone: (313) 576-9900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 4301107800 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301107800 Michigan

Profile Details

NPI number 1639468614
LBN Legal business name Jacob, Jaisy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2011
Last updated May 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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